Active NPI
Jessie M Whiteman, FNP-C
- Family Nurse Practitioner
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008138A
- Practice address
- 11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672 - Phone
- (260) 494-3484
- NPI assigned
- Jul 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71008138A | IN | Primary |
Addresses
Primary practice location
11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Other practice location 1
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7493
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11104 Parkview Circle Dr
Suite 330
Fort Wayne, IN 46845-1674
Phone (260) 494-3484
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
Hospital & facility affiliations
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
- Parkview Huntington Hospital
- Parkview Noble Hospital
- Parkview Wabash Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.43 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 61.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Family | Current | Accepting new patients |
| RP Care LLC | Family | Current | Accepting new patients |
| Nephrology Associates of Northern Indiana, Inc | Current | Accepting new patients | |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients |
Locations
120 W 22nd St
Oak Brook, IL 60523
6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275
3512 Stellhorn Rd
Fort Wayne, IN 46815
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
11104 Parkview Circle Dr
Ste 330
Fort Wayne, IN 46845
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
8398 Mississippi St
Fl 2
Merrillville, IN 46410
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jwhiteman83479@direct.acumenmd.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1134570104
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1073090130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 PARKVIEW CIRCLE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451672",
"telephone_number": "260-494-3484"
}
],
"practiceLocations": [
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-7493",
"fax_number": "260-969-0188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEMAN",
"first_name": "JESSIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-22",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008138A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.